Avaliação do sistema de farmacovigilância do Instituto de Doenças Tropicais Natan Portella em Teresina - PI

Detalhes bibliográficos
Ano de defesa: 2006
Autor(a) principal: Amaral, Fabrício Pires de Moura
Orientador(a): Moraes, Maria Elisabete Amaral de
Banca de defesa: Não Informado pela instituição
Tipo de documento: Dissertação
Tipo de acesso: Acesso aberto
Idioma: por
Instituição de defesa: Não Informado pela instituição
Programa de Pós-Graduação: Não Informado pela instituição
Departamento: Não Informado pela instituição
País: Não Informado pela instituição
Palavras-chave em Português:
Link de acesso: http://www.repositorio.ufc.br/handle/riufc/2344
Resumo: Pharmacovigilance is an important weapon for public health, because it allows the prevention of side effects caused by medication. In Brazil, the National Health Surveillance Agency (Anvisa) has priorized the development of activities of post-marketing surveillance in Sentinel Hospitals. The Nathan Portella Institute of Tropical Diseases, located in Teresina-PI was one of the hospitals chosen by the ANVISA to experience the implantation and consolidation of this service. The implantation process was concluded in September, 2005. This effort assessed the pharmacovigilance system introduced in the period between October, 2005 and May, 2006. For such, a check – list applied, 51 anonymous questionnaires to health care workers, and in addition the data on the records and MAE notifications forms were surveyed. The findings were evaluated by using the SPSS software and then compared in order to find failure on information transposed from the records to the notification forms. The check-list applied found organizational failures in the service of hospital pharmacy (absence of SOPs and personnel training records). The questionnaires show that the service was broadcast in wider range among resident doctors and nurses than among the specialist physicians. Also, the survey of data on the records indicated a number of 31 MAE notifications, with 48, 39% (15/31) of reports from doctors against 41,94% (13/31) from nurses. However, by analyzing the forms, it was found that only 16 MAE notifications were filled out – classified under 43,75% (7/16) from nurses against 37,50% (6/16) from resident doctors and 6,25% (1/16) from specialist physicians. It is conclude that there are organizational problems in the pharmacy service aggravated by undernotifications reported by health care workers due to insufficient transposition of data from the records to the spontaneous notification forms.
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spelling Amaral, Fabrício Pires de MouraMoraes, Maria Elisabete Amaral de2012-03-26T11:51:42Z2012-03-26T11:51:42Z2006AMARAL, F. P. M. Avaliação do sistema de farmacovigilância do Instituto de Doenças tropicais Natan Portella em Teresina - PI. 2006. 107 f. Dissertação (Mestrado em Farmacologia) - Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza, 2006.http://www.repositorio.ufc.br/handle/riufc/2344Pharmacovigilance is an important weapon for public health, because it allows the prevention of side effects caused by medication. In Brazil, the National Health Surveillance Agency (Anvisa) has priorized the development of activities of post-marketing surveillance in Sentinel Hospitals. The Nathan Portella Institute of Tropical Diseases, located in Teresina-PI was one of the hospitals chosen by the ANVISA to experience the implantation and consolidation of this service. The implantation process was concluded in September, 2005. This effort assessed the pharmacovigilance system introduced in the period between October, 2005 and May, 2006. For such, a check – list applied, 51 anonymous questionnaires to health care workers, and in addition the data on the records and MAE notifications forms were surveyed. The findings were evaluated by using the SPSS software and then compared in order to find failure on information transposed from the records to the notification forms. The check-list applied found organizational failures in the service of hospital pharmacy (absence of SOPs and personnel training records). The questionnaires show that the service was broadcast in wider range among resident doctors and nurses than among the specialist physicians. Also, the survey of data on the records indicated a number of 31 MAE notifications, with 48, 39% (15/31) of reports from doctors against 41,94% (13/31) from nurses. However, by analyzing the forms, it was found that only 16 MAE notifications were filled out – classified under 43,75% (7/16) from nurses against 37,50% (6/16) from resident doctors and 6,25% (1/16) from specialist physicians. It is conclude that there are organizational problems in the pharmacy service aggravated by undernotifications reported by health care workers due to insufficient transposition of data from the records to the spontaneous notification forms.A farmacovigilância é um importante instrumento para a saúde pública, pois possibilita a detecção precoce e o diagnóstico de reações adversas a medicamentos (RAM). No Brasil, a Agência Nacional de Vigilância Sanitária tem como prioridade o desenvolvimento de atividades de vigilância pós-comercialização em Hospitais Sentinelas. O Instituto de Doenças Tropicais Natan Portella, localizado em Teresina-PI, foi um dos hospitais escolhidos pela referida agência para a implantação e consolidação do serviço. O processo de implantação foi concluído em setembro de 2005. Este trabalho avaliou o sistema de farmacovigilância implantado no período compreendido entre os meses outubro de 2005 e maio de 2006. Para isso, fez-se aplicação de check list, 51 questionários anônimos aos profissionais de saúde, além de levantamento de dados dos prontuários e formulários de notificação de RAM. Os achados foram avaliados utilizando o programa SPSS sendo em seguida confrontados, a fim de se encontrar falhas nas transposições das informações dos prontuários para os formulários de notificação. O check list aplicado encontrou falhas organizacionais no serviço de farmácia hospitalar (inexistências de POPs e registro de treinamentos de funcionários). Os questionários demonstraram que a divulgação do serviço alcançou mais médicos residentes e enfermeiros do que os médicos especialistas. Além disso, o levantamento dos dados de prontuários indicou um total de 31 anotações de RAM, sendo 48,39% (15/31) relatos de médicos contra 41,94% (13/31) da enfermagem. Entretanto na análise de formulários, foram preenchidas, apenas, 16 notificações de RAM, distribuídas em 43,75% (7/16) para a enfermagem contra 37,50% (6/16) dos médicos residentes e 6,25% (1/16) dos médicos especialistas. Conclui-se que há problemas organizacionais no serviço de farmácia, além de subnotificação de RAM por parte dos profissionais de saúde, devido a uma insuficiente transposição de dados relatados nos prontuários para os formulários de notificação espontâneas.Sistemas de Notificação de Reações Adversas a MedicamentosSistema de Vigilância SanitáriaServiço de Farmácia HospitalarServiços de Informação sobre MedicamentosAvaliação do sistema de farmacovigilância do Instituto de Doenças Tropicais Natan Portella em Teresina - PIEvaluation of pharmacovigilance system in Natan Portella Institute of Tropical Diseases in Teresina - PIinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisporreponame:Repositório Institucional da Universidade Federal do Ceará (UFC)instname:Universidade Federal do Ceará (UFC)instacron:UFCinfo:eu-repo/semantics/openAccessORIGINAL2006_dis_fpmamaral.pdf2006_dis_fpmamaral.pdfapplication/pdf574952http://repositorio.ufc.br/bitstream/riufc/2344/1/2006_dis_fpmamaral.pdfd5d5621626630e3f624c2f989927140aMD51LICENSElicense.txtlicense.txttext/plain; charset=utf-81748http://repositorio.ufc.br/bitstream/riufc/2344/2/license.txt8a4605be74aa9ea9d79846c1fba20a33MD52riufc/23442021-06-29 15:32:46.384oai:repositorio.ufc.br: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Repositório InstitucionalPUBhttp://www.repositorio.ufc.br/ri-oai/requestbu@ufc.br || repositorio@ufc.bropendoar:2021-06-29T18:32:46Repositório Institucional da Universidade Federal do Ceará (UFC) - Universidade Federal do Ceará (UFC)false
dc.title.pt_BR.fl_str_mv Avaliação do sistema de farmacovigilância do Instituto de Doenças Tropicais Natan Portella em Teresina - PI
dc.title.en.pt_BR.fl_str_mv Evaluation of pharmacovigilance system in Natan Portella Institute of Tropical Diseases in Teresina - PI
title Avaliação do sistema de farmacovigilância do Instituto de Doenças Tropicais Natan Portella em Teresina - PI
spellingShingle Avaliação do sistema de farmacovigilância do Instituto de Doenças Tropicais Natan Portella em Teresina - PI
Amaral, Fabrício Pires de Moura
Sistemas de Notificação de Reações Adversas a Medicamentos
Sistema de Vigilância Sanitária
Serviço de Farmácia Hospitalar
Serviços de Informação sobre Medicamentos
title_short Avaliação do sistema de farmacovigilância do Instituto de Doenças Tropicais Natan Portella em Teresina - PI
title_full Avaliação do sistema de farmacovigilância do Instituto de Doenças Tropicais Natan Portella em Teresina - PI
title_fullStr Avaliação do sistema de farmacovigilância do Instituto de Doenças Tropicais Natan Portella em Teresina - PI
title_full_unstemmed Avaliação do sistema de farmacovigilância do Instituto de Doenças Tropicais Natan Portella em Teresina - PI
title_sort Avaliação do sistema de farmacovigilância do Instituto de Doenças Tropicais Natan Portella em Teresina - PI
author Amaral, Fabrício Pires de Moura
author_facet Amaral, Fabrício Pires de Moura
author_role author
dc.contributor.author.fl_str_mv Amaral, Fabrício Pires de Moura
dc.contributor.advisor1.fl_str_mv Moraes, Maria Elisabete Amaral de
contributor_str_mv Moraes, Maria Elisabete Amaral de
dc.subject.por.fl_str_mv Sistemas de Notificação de Reações Adversas a Medicamentos
Sistema de Vigilância Sanitária
Serviço de Farmácia Hospitalar
Serviços de Informação sobre Medicamentos
topic Sistemas de Notificação de Reações Adversas a Medicamentos
Sistema de Vigilância Sanitária
Serviço de Farmácia Hospitalar
Serviços de Informação sobre Medicamentos
description Pharmacovigilance is an important weapon for public health, because it allows the prevention of side effects caused by medication. In Brazil, the National Health Surveillance Agency (Anvisa) has priorized the development of activities of post-marketing surveillance in Sentinel Hospitals. The Nathan Portella Institute of Tropical Diseases, located in Teresina-PI was one of the hospitals chosen by the ANVISA to experience the implantation and consolidation of this service. The implantation process was concluded in September, 2005. This effort assessed the pharmacovigilance system introduced in the period between October, 2005 and May, 2006. For such, a check – list applied, 51 anonymous questionnaires to health care workers, and in addition the data on the records and MAE notifications forms were surveyed. The findings were evaluated by using the SPSS software and then compared in order to find failure on information transposed from the records to the notification forms. The check-list applied found organizational failures in the service of hospital pharmacy (absence of SOPs and personnel training records). The questionnaires show that the service was broadcast in wider range among resident doctors and nurses than among the specialist physicians. Also, the survey of data on the records indicated a number of 31 MAE notifications, with 48, 39% (15/31) of reports from doctors against 41,94% (13/31) from nurses. However, by analyzing the forms, it was found that only 16 MAE notifications were filled out – classified under 43,75% (7/16) from nurses against 37,50% (6/16) from resident doctors and 6,25% (1/16) from specialist physicians. It is conclude that there are organizational problems in the pharmacy service aggravated by undernotifications reported by health care workers due to insufficient transposition of data from the records to the spontaneous notification forms.
publishDate 2006
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dc.date.accessioned.fl_str_mv 2012-03-26T11:51:42Z
dc.date.available.fl_str_mv 2012-03-26T11:51:42Z
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dc.identifier.citation.fl_str_mv AMARAL, F. P. M. Avaliação do sistema de farmacovigilância do Instituto de Doenças tropicais Natan Portella em Teresina - PI. 2006. 107 f. Dissertação (Mestrado em Farmacologia) - Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza, 2006.
dc.identifier.uri.fl_str_mv http://www.repositorio.ufc.br/handle/riufc/2344
identifier_str_mv AMARAL, F. P. M. Avaliação do sistema de farmacovigilância do Instituto de Doenças tropicais Natan Portella em Teresina - PI. 2006. 107 f. Dissertação (Mestrado em Farmacologia) - Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza, 2006.
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